| NPI | 1154605483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 151556) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 764359) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |